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#954026 - 11/02/09 10:20 PM Hydro w/Ibuprofen not APAP
meonlyits Offline
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Registered: 08/23/09
Posts: 1588
My doc has recommended that at certain times of the month (yea that), I take significant amount of advil. Actually, I am supposed to take it starting a day or 2 b4 which in my case is hard to know. So far, I am 0 for 2 on getting it right.

I was thinking today, since I take 5/500s anyway, maybe I would be better off w/hydo w/advil.

Is that a compound pharmacy thing? Or is it something I could get from my regular grocery store pharmacy?

I could call the pharmacy I know, but thought I'd ask you guys first.

Any experiences getting this vs. standard pks?

Meon
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#954038 - 11/02/09 10:33 PM Re: Hydro w/Ibuprofen not APAP [Re: meonlyits]
CentralMedicalConsults Offline
centralmedicalconsults.com
Journeyman

Registered: 10/28/09
Posts: 86
Loc: TX
meonlyits- there are 2 drugs on the market currently that contain the hydrocodone/ibuprofen combination:
Ibudone
Reprexain

both are available in 5/200 and 10/200 strenghts.
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#954057 - 11/02/09 10:52 PM Re: Hydro w/Ibuprofen not APAP [Re: CentralMedicalConsults]
rustynails63 Offline
Member

Registered: 06/08/09
Posts: 181
Loc: mid country usa
sorry but there is a 7.5 /200mg of ibu. i get it every month and it's made by interpharm sold at walmart. however i didn't know there was a 10 mg w/ ibu. interesting
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#954070 - 11/02/09 11:02 PM Re: Hydro w/Ibuprofen not APAP [Re: rustynails63]
meonlyits Offline
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Registered: 08/23/09
Posts: 1588
Interesting that the drug manufacturers put 500mgs of apap, in w/5 mgs of hydro but only put 200 mgs of the ibu.

The ibu is less than 1/2 the amount of the apap.
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#954086 - 11/02/09 11:27 PM Re: Hydro w/Ibuprofen not APAP [Re: meonlyits]
louis76 Offline
Member

Registered: 12/08/08
Posts: 156
Loc: Marin County
Vicoprofen 7.5/200 is the combo I used to take.. Worked very well for me and was expensive at the time also..
Has anyone tried the Ibudone 10/200 and is it as expensive as Vicoprofen??
Thank You..

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#954468 - 11/03/09 04:37 PM Re: Hydro w/Ibuprofen not APAP [Re: louis76]
mozartkc Offline
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Registered: 10/24/05
Posts: 350
Loc: HI
I haven't tried the Ibudone but currently get the Vicoprofen scripted each month. It does wonders for the pain and the added benefit of not having the apap in it. I have heard that it can cause ulcers and kidney problems in the long run. I think it's better to have vicodin 1 month then alternate the next.
I also get the script for 5.00 with insurance. Very good med IMO

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#954680 - 11/03/09 09:26 PM Re: Hydro w/Ibuprofen not APAP [Re: louis76]
CentralMedicalConsults Offline
centralmedicalconsults.com
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Registered: 10/28/09
Posts: 86
Loc: TX
Originally Posted By: louis76
Vicoprofen 7.5/200 is the combo I used to take.. Worked very well for me and was expensive at the time also..
Has anyone tried the Ibudone 10/200 and is it as expensive as Vicoprofen??
Thank You..


The feedback I have received from the few patients we have that are prescribed Ibudone is that the drug is about double the price of the typical 10/325 hydro/apap.


Good luck
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#955187 - 11/04/09 03:19 PM Re: Hydro w/Ibuprofen not APAP [Re: mozartkc]
meonlyits Offline
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Registered: 08/23/09
Posts: 1588
Is ibuprofen worse for your kidneys, liver, and/or stomach than tylenol?

Originally Posted By: mozartkc
I haven't tried the Ibudone but currently get the Vicoprofen scripted each month. It does wonders for the pain and the added benefit of not having the apap in it. I have heard that it can cause ulcers and kidney problems in the long run. I think it's better to have vicodin 1 month then alternate the next.
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#955373 - 11/04/09 06:44 PM Re: Hydro w/Ibuprofen not APAP [Re: meonlyits]
mozartkc Offline
Board Addict

Registered: 10/24/05
Posts: 350
Loc: HI
hey meonlyits,
If I am correct ( someone please correct me if I am wrong); ibuprofen is worse for your kidneys and stomach. Tylenol is terrible for your liver. When I was first put on this med my doc told me to be careful and not "overdue" it with the ibuprofen because it could lead to stomach bleeding and kidney problems.
Vicodin, bad for your liver. Vicoprofen, bad for the kidneys and stomach. I think if it is taken in moderation then you should be fine :)Just be sure to check into your family history and see what ailments have been passed down to you. Good luck! Aloha!

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#955442 - 11/04/09 08:32 PM Re: Hydro w/Ibuprofen not APAP [Re: mozartkc]
Milvus Offline
Enthusiast

Registered: 09/13/07
Posts: 281
Loc: the depths of East Asia
I'm not sure about the kidneys, but any non-steroidal anti-inflammatory drug (including ibuprofen) can cause considerable harm to the stomach if too much is taken, or if it is taken for a long period without precautions, such as an appropriate antacid (Nephro will attest to this!). If you have any stomach problems, especially involving any kind of inflammation or peptic ulcers, it's probably best to avoid them altogether. I can't take them any more, since my stomach problems began. NSAIDs also have the potential for cardiac side effects (some more than others, I think). Not trying to be alarmist, but it's worth keeping in mind if you are going to take this type of medication.


Edited by Milvus (11/04/09 08:33 PM)

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#955559 - 11/05/09 01:39 AM Re: Hydro w/Ibuprofen not APAP [Re: Milvus]
louis76 Offline
Member

Registered: 12/08/08
Posts: 156
Loc: Marin County
The recommended dose of Vicoprofen is no more then 5x tabs per day.. My doctor at one time prescribed me 210 Tabs per month. After 6 months he reduced it to 150 and gave me some roxi to replace the extra doses.. If we both knew of the 10MG's it would have made the prescribing doses much easier to decide and safer on my stomach.. I'm going to ask my pharmacist about the prices of Ibudone and then talk to my PCP about different options these days. I was lucky enough to have a great pharmacist who would match and even call every Pharm there was around to give me the cheapest price for the VP. The last time I picked up a script for 150# generic tabs, It cost me $71.. witch was a big deference from around $300 at the time..!!
Take Care..
Lou

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#955714 - 11/05/09 01:01 PM Re: Hydro w/Ibuprofen not APAP [Re: louis76]
martind Offline
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Registered: 05/01/08
Posts: 2725
If your pharmacist sold you 150 generic 7.5mg hydrocodone/200mg IBU without insurance for $71, you should give him a very nice Christmas present.
That is approximately 50% cheaper than the best price I have seen lately for this generic.

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#955724 - 11/05/09 01:24 PM Re: Hydro w/Ibuprofen not APAP [Re: martind]
stevo1 Offline
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Registered: 08/08/06
Posts: 2775
Loc: Top of The World!
Originally Posted By: martind
If your pharmacist sold you 150 generic 7.5mg hydrocodone/200mg IBU without insurance for $71, you should give him a very nice Christmas present.
That is approximately 50% cheaper than the best price I have seen lately for this generic.


Absolutly Correct!!!! My script for 10/325 is $89 and with the Discount card is $39

I just recently checked changing to Vicoprophen 10/200 or 10/325..... My cost was gonna be $178 and I don't know what the Discount Card whould have reduced it to!!! ....But Hydro is at Least 1/2 the Price of the Vicoprophen!! I wish I could Afford the Vicoprophen....They definitely work Better for me!!! And then there is the Liver Issue with the Hydro/APAP.
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#955731 - 11/05/09 01:39 PM Re: Hydro w/Ibuprofen not APAP [Re: stevo1]
meonlyits Offline
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Registered: 08/23/09
Posts: 1588
Thanks everyone for the responses. Wow, half the price?

With my insurance, I only pay $5 or $10 for vicoden. I wonder if vicoprophen would be a lot more. I guess I could call my pharmacist and ask. Maybe I should do that before I even bother to discuss w/my doctor.

But so far the most I have paid for any medicine (such as Cymbalta) is $40.

What surprises me though is how the hydro/ibu pill only has 200 mg of ibu whereas the hydro/apap pill has 500 of apap.

Any ideas as to why the dose of the non-opiate ingredient is so much different for the advil combo vs the apap combo?
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#957224 - 11/07/09 11:09 AM Re: Hydro w/Ibuprofen not APAP [Re: meonlyits]
meonlyits Offline
GRAND Pooh-Bah

Registered: 08/23/09
Posts: 1588
Originally Posted By: meonlyits
What surprises me though is how the hydro/ibu pill only has 200 mg of ibu whereas the hydro/apap pill has 500 of apap.

Any ideas as to why the dose of the non-opiate ingredient is so much different for the advil combo vs the apap combo?


Bump for the weekend crowd.
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#957253 - 11/07/09 12:06 PM Re: Hydro w/Ibuprofen not APAP [Re: meonlyits]
479abc Offline
Enthusiast

Registered: 11/02/09
Posts: 252
I don't think ibu over the counter comes any higher then 200 mgs. Apap over the counter at the high end is 500 mgs.

Prob because these are the recomended doses by manufacturer.

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#957410 - 11/07/09 04:26 PM Re: Hydro w/Ibuprofen not APAP [Re: 479abc]
martind Offline
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Registered: 05/01/08
Posts: 2725
Vicodin ES contains 750mg of APAP. And only 7.5mg of hydrocodone. It is, I think, a ridiculous formulation that will not be around for very much longer.

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#957414 - 11/07/09 04:28 PM Re: Hydro w/Ibuprofen not APAP [Re: martind]
Stacy Offline

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Registered: 11/15/02
Posts: 3679
Loc: USA
Yes and there is a percocet that has like 650 or 600 mg, something around that amount.
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#966058 - 11/19/09 07:21 PM Re: Hydro w/Ibuprofen not APAP [Re: Stacy]
typicalvolume Offline
Stranger

Registered: 11/19/09
Posts: 2
Be carefule with vicoprofren it can give you REALLY bad heartburn and ulcers if you are not careful and take too many at once.

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